Graded compression sonography of abdominal neoplasms mimicking acute appendicitis

Geoffrey D. Rubin, R. Brooke Jeffrey

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Over a 3-year period nine patients (mean age of 43 years) with acute abdominal pain and unsuspected abdominal neoplasms were referred for graded compression sonography to rule out appendicitis. Six of the nine patients had right lower quadrant neoplasms involving the cecum, terminal ileum, iliacus muscle, or iliac lymph nodes. However, in three patients neoplasm was noted outside the right iliac fossa involving the liver, right kidney, and upper abdominal mesentery. This study underscores the fact that in patients without sonographic evidence of acute appendicitis, a survey of the upper abdomen and right flank should routinely be performed in addition to scanning the right iliac fossa and pelvis. In patients more than 50 years of age neoplasm must also be kept in mind in the differential diagnosis of appendicitis.

Original languageEnglish (US)
Pages (from-to)292-294
Number of pages3
JournalGastrointestinal Radiology
Issue number1
StatePublished - Dec 1992
Externally publishedYes


  • Abdominal neoplasm
  • Appendicitis
  • Sonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology


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